Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Profes Svc,Immunother,Single/Mult Ags
Low
$3
Average
$98
Median
$51
High
$7.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
621 hospitals; the 90th percentile is 9.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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824 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $34 | $35 | $3 | 8% | 1,690 | $34 – $41 |
| 2 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $53 | $1 | 2% | 988 | $52 – $54 |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 4 | $17 | $29 | $14 | 49% | 820 | $17 – $46 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $51 | $52 | $2 | 3% | 751 | $50 – $55 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | 109 | $113 – $113 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $133 | $133 | — | — | 102 | $133 – $133 |
| 7 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $17 | $17 | $2 | 9% | 81–90 | $15 – $20 |
| 8 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $64 | $64 | $3 | 5% | 50 | $60 – $69 |
| 9 | Mayo Clinic Health System Fairmont 56031-4575 facility · fee schedule · both | 1 | $51 | $51 | — | — | 30 | $51 – $51 |
| 10 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 4 | $57 | $59 | $7 | 11% | 30 | $52 – $69 |
| 11 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $16 | $8 | 48% | 19 | $10 – $36 |
| 12 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 18 | $188 – $188 |
| 13 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $49 | $2 | 5% | 17–35 | $47 – $51 |
| 14 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $18 | $15 | $3 | 21% | 16–25 | $12 – $18 |
| 15 | Brigham and Women's Hospital Boston, MA other · both | 1 | $55 | $55 | — | — | 11 | $55 – $55 |
| 16 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $229 | $229 | — | — | 11 | $229 – $229 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $51 | $51 | — | — | 11 | $51 – $51 |
| 18 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $38 | $10 | 27% | 4–40 | $28 – $49 |
| 19 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | 2–20 | $162 – $162 |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $74 | $87 | $33 | 38% | 1–10 | $57 – $143 |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $74 | $87 | $33 | 38% | 1–10 | $57 – $143 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $22 | $22 | $1 | 2% | — | $21 – $22 |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $15 | $71 | $117 | 164% | — | $3 – $304 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $1 | 8% | — | $16 – $19 |
| 25 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $14 | $65 | $107 | 165% | — | $3 – $279 |
← Payers reporting CPT 95165 · Snapshot 20261111T120946Z-9134e7f7